Individual
JEANNIE VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
458 GRAND AVE STE 104, NEW HAVEN, CT 06513-3856
(203) 752-1212
Mailing address
458 GRAND AVE STE 104, NEW HAVEN, CT 06513-3856
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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